ECPR in the cath lab

Abstract

Background: Extracorporeal cardiopulmonary resuscitation (ECPR) is the rapid deployment of extracorporeal membrane oxygenation (ECMO) – or cardiopulmonary bypass – to provide immediate cardiovascular support for patients who have cardiac arrest unresponsive to conventional cardiopulmonary resuscitation (CPR) measures. There is improved survival with isolated cardiac lesions. 1 Cardiac disease (adjusted for confounding factors) was associated with improved survival when compared with non-cardiac diseases (odds ratio 6.3, 2.01–19.80). 2 Conventional CPR versus ECPR has a lower survival to discharge 8.2–22% and about 6–11% for critically ill patients. The survival of out-of-hospital cardiac arrest is less than 3%. 3 The long-term survival is 53% with ECPR versus 17% with conventional CPR. 4 ECPR in witnessed in-hospital cardiac arrest in areas of advanced life support system and effective CPR with single organ dysfunction with minimum time elapse in logistics like ECPR in cath lab is associated with much bet...